Metro Health Care-Southfield, MIEst. $62,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

RN. RN QA Home Care:. Clinical Record Review shall include:. RN with home care QA experience*....

Attuned Care Home Health-Detroit, MIEst. $48,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

RN. Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned....

Beaconshire Nursing Centre-Detroit, MIEst. $43,000 - $54,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Significant changes and quarterly reviews. Oversees the nursing staff in assessment of MDS using the Utilization Guidelines;...

Viki Solutions-Detroit, MI $34 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

One (1) year utilization review preferred. Must Have current Michigan RN license\*. Utilization management experience in a managed care environment preferred....

St. John Providence, MI-Southfield, MIEst. $36,000 - $49,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

2 years of experience in Utilization review or Case Management preferred. Analyst-Utilization Review / Providence Hospital - BU 34014 / PRN Days....

Meridian Health Plan-Detroit, MIEst. $65,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

A Day in the Life of a Utilization Management Inpatient Review Nurse:. Receive and review all emergent inpatient admission and observation notifications....

Meridian Health Plan-Detroit, MIEst. $63,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Functions collaboratively with the members of the Utilization Management team, and specifically with the inpatient review nurses, Case Managers, Utilization...

Molina Healthcare-Troy, MIEst. $52,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Management Certification (CPHM). May also perform prior authorization reviews and/or related duties as needed....

Aetna-Detroit, MIEst. $52,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Click here to review the benefits associated with this position. Care Manager RN with strong understanding of the clinical process of assessment, planning,...

Veterans Affairs, Veterans Health Administration-Detroit, MI $55,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Applying online will allow you to review and track the status of your application. This HR Office will only review the last uploaded resume that is submitted...

Molina Healthcare-Troy, MIEst. $45,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

2 years utilization review experience and 2 years managed care experience. Requests and reviews medical records, notes, and/or detailed bills as appropriate;...

Blue Cross Blue Shield of Michigan-Detroit, MIEst. $75,000 - $99,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

May have direct supervisory responsibility which includes performance reviews. Position operates within broad objectives to ensure optimum utilization of...

Morgan Stephens-Troy, MIEst. $65,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

2+ years of Nurse experience with utilization review, quality review, or chart auditing experience. Review charts, fill out checklist, data entry of information...

A-Line Staffing Solutions-Southfield, MI $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Prior authorization, Utilization Review, Claims/Appeals experience preferred. Educate providers on utilization and medical management processes....

Olympia Group LLC-Detroit, MIEst. $47,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Significant change and quarterly review. Ensuring timely scheduling and completion of the initial care plan, annual review, readmission;...

Henry Ford Health System-Southfield, MIEst. $47,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Completes medication reconciliation and review. Presents medically complex cases to the Medical Director for review....

Harper Hospital-Detroit, MI

Utilization Management supporting medical necessity and denial prevention. The RN Case Manager is responsible to facilitate care along a continuum through...

Ascension (System Office)-Sterling Heights, MIEst. $40,000 - $56,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Performs clinical utilization review to determine medical necessity and cost-effectiveness of requested health care services. RN Util Mgmt Nurse-ABS....

Regency at Canton-Canton, MIEst. $56,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Somr responsibilities of the MDS Nurse RN include:. Assesses resident through physical assessment, interview and chart review....

The Medical Team-Livonia, MIEst. $61,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Coordinates activities related to medical record review for data collection. Reviews incident reports for completeness, risk, standard of care determination and...

Compassus-Farmington Hills, MIEst. $57,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Ensures maximum utilization of resources. May have RN Case Manager responsibilities. RN with 1 year of experience and training in hospice care....

OpTech-Southfield, MIEst. $51,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Must have current RN license, one year of utilization review with an associates degree. Will be responsible for collecting documentation and conduct medical...

EK Health Services-Detroit, MIEst. $59,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

EK Health Services has built a reputation for offering superior, goal-oriented Workers' Compensation case management, utilization review, and bill review...

Colombiere Center-Clarkston, MIEst. $41,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

LPN or RN. Knowledge of operation and utilization of health care equipment and supplies. Reviews appraisal with the Director of Nursing before meeting with the...

Olympia Group LLC-Center Line, MIEst. $47,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Significant change and quarterly review. Ensuring timely scheduling and completion of the initial care plan, annual review, readmission;...

Olympia Group LLC-Hamtramck, MIEst. $40,000 - $54,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Significant changes and quarterly reviews. Oversees the nursing staff in assessment of MDS using the Utilization Guidelines;...


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